Claims Analyst

## Claims AnalystApplylocations: Barueri, Sao Paulotime type: Full timeposted on: Posted Todayjob requisition id: R- · Analyze historical insurance data (policies, claims, endorsements, cancellations) to identify fraud patterns· Develop, review, and optimize fraud prevention rules across the insurance lifecycle (policy issuance, mid-term changes, and claims)· Adjust risk weights and parameters based on data-driven insights· Identify suspicious profiles (policyholders, third parties, service providers, repair shops, etc.)· Monitor fraud-related KPIs, such as:· Fraud rate in claims· Suspicion vs. confirmation ratio· False positives· Detection time· Investigate anomalies in:· Claims frequency· Coverage usage· Repeated entities (ID, phone number, address, vehicle, etc.)· Perform data cross-referencing using internal and external sources· Support the creation and maintenance of blacklists and risk profiles· ...